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H.B. 137

             1     

PAIN MEDICATION MANAGEMENT AND

             2     
EDUCATION

             3     
2007 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Bradley M. Daw

             6     
Senate Sponsor: Curtis S. Bramble

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies Title 26, Chapter 1, Department of Health Organization, establishing
             11      a two-year program in the department to reduce deaths and other harm from
             12      prescription opiates utilized for chronic pain.
             13      Highlighted Provisions:
             14          This bill:
             15          .    requires the Utah Department of Health to coordinate with the Utah attorney
             16      general, the Labor Commission, and the Division of Occupational and Professional
             17      Licensure to:
             18              .    investigate causes and risk factors and solutions for deaths and nonfatal
             19      complications of prescription opiate use and misuse in Utah by using the Utah
             20      Controlled Substance Database;
             21              .    study risks associated with prescription opiate medications used for chronic
             22      pain; and
             23              .    educate health care providers, patients, insurers, and the general public on the
             24      appropriate management of pain; and
             25          .    requires the department to report to the legislative Health and Human Services
             26      Interim Committee and the legislative Business and Labor Interim Committee no
             27      later than the November meetings in 2007 and 2008 and present its


             28      recommendations on:
             29              .    the use of the Utah Controlled Substances Database to identify and prevent:
             30                  .    misuse of opiates;
             31                  .    inappropriate prescribing; and
             32                  .    adverse outcomes of prescription opiate medications;
             33              .    interventions to prevent the diversion of prescription opiate medications; and
             34              .    medical treatment and quality care guidelines.
             35      Monies Appropriated in this Bill:
             36          This bill appropriates to the Utah Department of Health for this two-year program:
             37          .    $250,000 from the General Fund for fiscal year 2007-08 only and $250,000 from
             38      the General Fund for fiscal year 2008-09 only; and
             39          .    $250,000 from the Workplace Safety Account created in Section 34A-2-701 for
             40      fiscal year 2007-08 only and $250,000 from the Workplace Safety Account for
             41      fiscal year 2008-09 only.
             42      Other Special Clauses:
             43          This bill takes effect on July 1, 2007.
             44      Utah Code Sections Affected:
             45      ENACTS:
             46          26-1-36, Utah Code Annotated 1953
             47     
             48      Be it enacted by the Legislature of the state of Utah:
             49          Section 1. Section 26-1-36 is enacted to read:
             50          26-1-36. Duty to establish program to reduce deaths and other harm from
             51      prescription opiates used for chronic noncancer pain.
             52          (1) As used in this section, "opiate" means any drug or other substance having an
             53      addiction-forming or addiction-sustaining liability similar to morphine or being capable of
             54      conversion into a drug having addiction-forming or addiction-sustaining liability.
             55          (2) In addition to the duties listed in Section 26-1-30 , the department shall develop
             56      and implement a two-year program in coordination with the Division of Professional
             57      Licensing, the Utah Labor Commission, and the Utah attorney general, to:
             58          (a) investigate the causes of and risk factors for death and nonfatal complications of


             59      prescription opiate use and misuse in Utah for chronic pain by utilizing the Utah Controlled
             60      Substance Database created in Section 58-37-7.5 ;
             61          (b) study the risks, warning signs, and solutions to the risks associated with
             62      prescription opiate medications for chronic pain, including risks and prevention of misuse and
             63      diversion of those medications; and
             64          (c) provide education to health care providers, patients, insurers, and the general public
             65      on the appropriate management of chronic pain, including the effective use of medical
             66      treatment and quality care guidelines that are scientifically based and peer reviewed.
             67          (3) The department shall report on the development and implementation of the
             68      program required in Subsection (2) to the legislative Health and Human Services Interim
             69      Committee and the legislative Business and Labor Interim Committee no later than the
             70      November interim meetings in 2007 and 2008. Each report shall include:
             71          (a) recommendations on:
             72          (i) use of the Utah Controlled Substances Database created in Section 58-37-7.5 to
             73      identify and prevent:
             74          (A) misuse of opiates;
             75          (B) inappropriate prescribing; and
             76          (C) adverse outcomes of prescription opiate medications;
             77          (ii) interventions to prevent the diversion of prescription opiate medications; and
             78          (iii) medical treatment and quality care guidelines that are:
             79          (A) scientifically based; and
             80          (B) peer reviewed; and
             81          (b) (i) a measure of results against expectations under the program as of the date of the
             82      report; and
             83          (ii) an analysis of the application of the program, use of the appropriated funds, and the
             84      impact and results of the use of the funds.
             85          (4) The report provided under Subsection (3) for the 2008 interim shall also provide a
             86      final cumulative analysis of the measurable effectiveness of the program implemented under
             87      this section.
             88          Section 2. Appropriation.
             89          There is appropriated to the Utah Department of Health to implement the two-year


             90      program created in Section 26-1-36 :
             91          (1) $250,000 from the General Fund for fiscal year 2007-08 only and $250,000 from
             92      the General Fund for fiscal year 2008-09 only; and
             93          (2) $250,000 from the Workplace Safety Account created in Section 34A-2-701 for
             94      fiscal year 2007-08 only and $250,000 from the Workplace Safety Account for fiscal year
             95      2008-09 only.
             96          Section 3. Effective date.
             97          This bill takes effect on July 1, 2007.




Legislative Review Note
    as of 1-19-07 6:22 AM


Office of Legislative Research and General Counsel


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